title: Gas-forming urinary tract infection.
abstract: Emphysematous or gas-forming infections, a very small percentage of bacterial infections of the urinary tract, attract importance because of their life threatening potential. Herein, we report a 60-year-old Saudi female patient who was a known case of Diabetes mellitus for 15 years. She was admitted with left flank pain of 5 days duration, abdominal distension, nausea, vomiting and chills associated with increased frequency of urine, urgency, and dysuria. She had leukocytosis, high blood sugar, elevated urea and creatinine and pyuria. Urine culture grew Escherichia coli. Ultrasound and CT scan showed left pelvicalyceal dilatation and air in the left kidney and urinary bladder. She was treated with a prolonged parenteral antibiotic course, and insulin, with complete recovery.
authors.affiliation: Internal Medicine, King Fahd Specialist Hospital, Buraida, Saudi Arabia. dr_zahidnabi@hotmail.com
authors.forename: Zahid
authors.initials: Z
authors.lastname: Nabi
authors.forename: Hashem
authors.initials: H
authors.lastname: Almukdad
authors.forename: Abdulla
authors.initials: A
authors.lastname: Alnassri
authors.forename: Kamil
authors.initials: K
authors.lastname: Adli
authors.forename: Eyad
authors.initials: E
authors.lastname: Adie
mesh_terms: D003556:Cystitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D004646:Emphysema / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D004927:Escherichia coli Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011704:Pyelonephritis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D014552:Urinary Tract Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy